【摘要】 目的:探讨葡萄膜炎患者继发眼压升高或青光眼的临床特点和诊治效果。方法:收集葡萄膜炎继发眼压升高或青光眼患者158例(206眼)的临床资料,分析其抗青光眼药物、激光或手术治疗效果。结果:158例患者中,男86例,女72例;平均年龄(46.5±17.8)岁。其中行抗青光眼药物治疗99眼(48.1%),因瞳孔闭锁或膜闭行YAG激光虹膜切除术54眼(26.2%),睫状体光凝术20眼(9.7%),小梁切除术16眼(7.8%),小梁切除术联合白内障超声乳化和人工晶体植入术7眼(3.4%),引流阀植入手术4眼(1.9%),有6眼(2.9%)行多次联合手术治疗。随访6~18个月,眼压控制较好者181眼,成功率为87.9%。末次随访发现矫正视力提高者171眼(83.0%),视力稳定者28眼(13.6%),视力恶化者7眼(3.4%)。结论:对于葡萄膜炎继发青光眼患者应积极控制炎症和降低眼压,局部滴眼药物、激光虹膜切除术、滤过手术或青光眼引流阀植入术可很好地控制眼压,挽救患者视力。更多还原

【Abstract】 Objective: To explore the clinical features and efficacy of treatment for the patients with ocular hypertension or glaucoma secondary to uveitis. Methods: There were 158 cases(206 eyes) of patients with ocular hypertension or glaucoma during the treatment of uveitis. The efficacy of treatment with topical or systemic anti-glaucoma medications, laser or surgical management was analyzed. Results:Among the 158 patients, there were 86 males and 72 females. The mean age was(46.5±17.8)years old. There were 99 eyes(48.1%) treated with anti-glaucoma medications, 54 eyes(26.2%) with YAG laser iridotomy, 20 eyes(9.7%) with cyclophotocoagulation, 16 eyes(7.8%) with trabeculectomy, 7 eyes(3.4%) with combined trabeculectomy and phacoemulsification and intraocular lens implantation, 4 eyes(1.9%) with glaucoma drainage implant, and 6 eyes(2.9%) with multiple surgical treatments. The intraocular pressure of 181 eyes was well controlled and the successful rate was 87.9% after the 12~18 months follow-up. The corrected visual acuity of 171 eyes(83.0%) was improved at last visit, 28 eyes(13.6%) were stable and 7 eyes(3.4%) were deteriorated. Conclusion: For the patients with ocular hypertension or glaucoma secondary to uveitis, the aggressive anti-inflammation and the anti-glaucoma medications are essential. Tropical drops, laser iridotomy,trabeculectomy, cyclophotocoagulation or glaucoma drainage implants could control the intraocular pressure and minimize the visual impairment.更多还原